Concept Analysis Diagram - Nutrition
Nursing Care Directed toward what contributes to a normal concept and is thereby related to all factors involved in or with the concept. Not always needed to have a normal outcome. AttributesDefining characteristics of the concept What property, quality, or data must be present for the concept to exist AntecedentsWhat precedes the concept for it to existEvents or incidents that must happen before the conceptConsequencesUntoward events or outcomes that occur due to malfunction within the conceptPositive events or outcomes that occur due to proper functioning within the conceptInterrelated ConceptConcepts which can affect change in the other””Concepts which work together to ensure a normal process Concepts which if depleted or impaired can cause a negative consequence in the otherSub-ConceptCritical components of major conceptMetabolismCognitionInterpersonal RelationshipsNursing CarePrimary, Secondary,TertiaryAttributesAdequate Intake for: Development-Energy- Growth- Tissue RepairIdeal Ht-Wt-BMI—(MAC) (MAMM) Muscle Tone-Strength-Agility-Reflex ResponseCognitive & Mood ResponseAlbumin WNLHemoglobin & Hematocrit WNLElectrolytes WNLDiversityPatient EducationInterrelated ConceptsFluid and Electrolyte BalanceNutrientsFood AllergiesMalnutritionPhysiological-Psychological- Dysfunction Ingestion- Digestion-Absorption-MetabolismMalnutritionInsufficient/Excess IntakeFailure to thrive--ObesityAltered Hydration StatusLow energy-Fatigue Depression-IsolationGrowth & Tissue RepairEngage in Physical ActivityHomeostasis/Adequate Nutrition HydrationPhysiological and Psychological WellnessDietsRisk factorsEthnicity SocioeconomicsKnowledgeMedical ConditionsMedicationsLifestyle BehaviorsAge-Gender-GeneticsPositiveSub -ConceptsAntecedentsNormal Alimentary Tract and Associated Organs Adequate Ingestion of Nutrients and WaterNormal TemperatureNormal ph Consequences(Outcomes)Growth/ Developmental DelayDecreased Bone DensityDelayed-Inadequate HealingIllness-Muscle wasting-DeathNegativeNutrition The process by which the body ingests, absorbs, transports uses and eliminates nutrients and foods. (NC)ThermoregulationPhysiological & Psychological DevelopmentHuman DevelopmentClottingExplanation of the Analysis Diagram for Nutrition Concept. The definition of the concept is written in the middle (circle) of the diagram.Nursing Care is printed slightly above the rest of the Concept Diagram because it incorporates all aspects of the diagram prior to determining the care required. There are dotted arrows going out from Nursing Care because nursing interventions are not always needed.Before a concept exists certain entities must exist. These entities are called Antecedents (ante means before). If these do not exist or are malfunctioning then the concept either does not exist or it does not exist at its optimal level. As shown, the Antecedents for Nutrition Concept are normal alimentary tract and associated organs, adequate ingestion of nutrients and water, normal temperature, and normal ph.To determine the level of effectiveness, the nurse assesses patients for certain concept Attributes. The assessment which would support optimum function for this concept would include the Attributes of adequate intake for: development-energy- growth- tissue repair,ideal height-weight BMI—(MAC) (MAMM), muscle tone-strength-agility-reflex response, cognitive and mood response, albumin WNL, hemoglobin and hematocrit WNL, and electrolytes WNL. Depending on the quality of the Attribute (assessment) findings, the patient may exhibit positive or negative consequences. Positive Consequences for Nutrition Concept might include growth and tissue repair; engage in physical activity, homeostasis/adequate nutrition hydration, physiological and psychological wellness. Negative Consequences might include growth/ developmental delay, decreased bone density, delayed-inadequate healing, illness-muscle wasting-death; malnutrition- insufficient/excess intake, failure to thrive—obesity; malnutrition- physiological-psychological-dysfunction, ingestion- digestion-absorption-metabolism; altered hydration status; and low energy-fatigue, depression-isolation.Interrelated Concepts are concepts which either affect or are affected by the Concept being defined in the diagram. Therefore the arrow between Interrelated and the defined Concept goes both ways. The Interrelated Concepts for the concept of Nutrition might include Metabolism, Cognition, Interpersonal Relationships, Diversity, Patient Education, Fluid and Electrolyte Balance, Thermoregulation, Human Development, and Clotting.Sub-Concepts are teaching points regarding the Concept being defined thus just a line is printed between the Concept and Sub-Concepts. The need for Nursing Care is triggered by: Compromised Antecedent(s), Decreased quality of Attribute(s), Negative Consequence(s), and/or a potentially negative impact from an Interrelated Concept(s).When a Negative Consequence occurs the nurse will re-evaluate the Antecedents with the intent of identifying which Antecedent was compromised and then direct nursing interventions to strengthen the weakened Antecedent. The intervention would be considered effective when the Attribute(s) reaches optimal measurement and the outcomes are positive. Of course some will always have compromised Antecedents and therefore the nursing care and Attributes would be modified accordingly. Nursing Care would also take in consideration Interrelated Concepts to either strengthen the positive affect or limit the negative.Nursing interventions are not always needed. However, continual assessment to determine if pro-active or follow-up interventions are required is ongoing. ................
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